0001437749-21-010502.txt : 20210430
0001437749-21-010502.hdr.sgml : 20210430
20210430174332
ACCESSION NUMBER: 0001437749-21-010502
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210428
FILED AS OF DATE: 20210430
DATE AS OF CHANGE: 20210430
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Samant Rahul D
CENTRAL INDEX KEY: 0001726120
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34221
FILM NUMBER: 21880213
MAIL ADDRESS:
STREET 1: C/O DELTA AIR LINES, INC.
STREET 2: P.O. BOX 20574, DEPT. 981
CITY: ATLANTA
STATE: GA
ZIP: 30320
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ModivCare Inc
CENTRAL INDEX KEY: 0001220754
STANDARD INDUSTRIAL CLASSIFICATION: TRANSPORTATION SERVICES [4700]
IRS NUMBER: 860845127
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4700 SOUTH SYRACUSE STREET
STREET 2: 4TH FLOOR
CITY: DENVER
STATE: CO
ZIP: 80237
BUSINESS PHONE: 303-728-7003
MAIL ADDRESS:
STREET 1: 4700 SOUTH SYRACUSE STREET
STREET 2: 4TH FLOOR
CITY: DENVER
STATE: CO
ZIP: 80237
FORMER COMPANY:
FORMER CONFORMED NAME: PROVIDENCE SERVICE CORP
DATE OF NAME CHANGE: 20030226
4
1
rdgdoc.xml
FORM 4
X0306
4
2021-04-28
0001220754
ModivCare Inc
MODV
0001726120
Samant Rahul D
4700 SOUTH SYRACUSE STREET,
4TH FLOOR
DENVER
CO
80237
1
Common Stock
2021-04-28
4
A
0
649
0
A
649
D
/s/ Kathryn Stalmack by Power of Attorney
2021-04-30